The California Department of Public Health (CDPH) has issued a new All Facilities Letter (AFL) rescinding the previous AFL 10-33, which provided guidelines for facility requirements during state audits for compliance with the 3.2 Nursing Hours per Patient Day (NHPPD) staffing requirements. The CDPH is revising these guidelines, and as a result, the requirements of AFL 10-33 are on hold. Until further notice, skilled nursing facilities are not required to comply with the guidelines contained in AFL 10-33. A separate AFL with updated guidelines for facility requirements for compliance with the 3.2 NHPPD staffing requirements will be released in the near future. Facilities should be prepared to adapt to these new guidelines once they are published. Non-compliance with the updated regulations may result in penalties or other consequences.
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